| NPI | 1932753324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN257184) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: MA RN257184) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2020-03-16 |